LISA M JACK


Address: 2076 Lascassas Pike Ste B, Murfreesboro, TN 37130-2085
Phone: 6155350124

LISA M JACK (NPI# 1740210152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740210152
Entity Type Individual
Full Name LISA M JACK
Credential APRN BC
Practice Address 2076 Lascassas Pike Ste B
Murfreesboro
TN 37130-2085
Practice Telephone 6155350124
Practice Fax Number 6156534218
Mailing Telephone 6155350124
Mailing Fax Number 6156534218
Enumeration Date 2006-07-03
Last Update Date 2020-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APN0000008399 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA JACK

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1922645035 Lisa Jack Behavior Technician 2880 Pottsville Minersville Hwy # 135, Minersville, PA 17954-2027 2019-12-09
1942739404 Lisa Jack Counselor 613 East St, Mamou, LA 70554 2017-06-08
1891827457 Lisa E. Jack Psychologist 2233 Hamline Ave N Ste 611, Saint Paul, MN 55113-5007 2007-03-09

Office Location

Street Address 2076 LASCASSAS PIKE STE B
City MURFREESBORO
State TN
Zip Code 37130-2085

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538667001 Innovation Health, LLC Nurse Practitioner 2076 Lascassas Pike Ste B, Murfreesboro, TN 37130-2085 2018-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760954374 Ginger Marie Nolan Speech-Language Pathologist 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 2018-12-20
1710480835 Winter Calvert Cullen Chiropractor 925 S. Church St. A200, Murfreesboro, TN 37130 2018-03-15
1821598368 Carolina Lira Social Worker 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 2018-02-20
1003314477 Sarah Elizabeth Howard Recreation Therapist 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 2018-01-31
1871012864 Adam Gerard Fedewa Physical Therapy Assistant 1207woods Edge Dr, Murfreesboro, TN 37130 2017-09-12
1972027860 Teri Andrea White Specialist 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 2017-08-01
1295285120 Bethany Ann Malugin Nurse Practitioner 324 S. Bilbro Ave., Murfreesboro, TN 37130 2016-10-04
1982080636 Lisa Anne Davis Massage Therapist 416 North Front Street, Murfreesboro, TN 37130 2015-08-05
1568844488 Dental Excellence Dentist 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 2015-06-27
1932545134 Burma Collins Developmental Services Home Health 2161 Slater Drive, Mufressboro, TN 37130 2013-05-14
Find all providers in zip 37130

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093322042 Meghan Nicole Adams Nurse Practitioner 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375 2020-09-24
1184244832 Lauren Tucker Nurse Practitioner 4477 Betty Ford Rd, Murfreesboro, TN 37130-6717 2020-04-23
1104380369 Natalie Karen Bouie Nurse Practitioner 2620 New Salem Hwy, Murfreesboro, TN 37128-5354 2019-01-22
1710455720 Rebecca Fuqua Nurse Practitioner 1139 Nw Broad St Ste 103, Murfreesboro, TN 37129-2390 2018-11-07
1588031421 Emily Dilmon Roberts Nurse Practitioner 2945 Elam Rd Apt E106, Murfreesboro, TN 37127-6165 2015-08-26
1518270115 Self Centered Weight Loss and Wellness of Murfreesboro, Pllc Nurse Practitioner 1211 Leaf Ave Ste 102, Murfreesboro, TN 37130-2642 2010-07-23
1932430394 Jessica M Purdom Nurse Practitioner 1840 Medical Center Pkwy Ste 300, Murfreesboro, TN 37129-3237 2010-01-26
1477721066 Joshua Kain Winfree Nurse Practitioner 400 N Highland Ave., Murfreesboro, TN 37130-3837 2008-02-15
1326265984 Suzanne Scoble Nurse Practitioner 1004 N Higland Avenue, Murfreesboro, TN 37130 2007-04-18
1376580613 Nena Egli Nurse Practitioner 1927 Memorial Blvd, Murfreesboro, TN 37129-1545 2006-06-02
Find all providers in MURFREESBORO

Competitor

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City MURFREESBORO
Zip Code 37130

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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